Exercise Associated Collapse and the differentials with Luca Carenzo

In this conversation, we will explore some of the nuances and
challenges of Exercise Associated Collapse (EAC) with Luca
Carenzo. The basis of this interview was the recent publication
in the Journal of Science and Medicine in Sport of An Unusual
Case of Marathon-related Exercise-associated Collapse: Case
Report and Some Considerations for Medical Care at Endurance Mass
Participation Events. We will explore the case and some
empirically proven treatments that form the mainstay of treatment
within EAC. We will also visit some of the reflections on the
case and how it has changed Luca’s thinking on the list of
differentials within EAC. We also examine patient-focused
research, intra-speciality collaboration and EAC collated
databases.


To do this I have Luca Carenzo with me. Luca is an Anaesthetic
and Critical Care consultant from Milan, Italy. He previously
worked at The Royal London Hospital Adult Critical Care Unit and
has taken part in some mission work with Doctors without Borders.
He is also a World Extreme Medicine faculty member. He currently
works in the Istituto Clinico Humanitas
IRCCS Humanitas · Department of Anaesthesia and
Intensive Care Medicine in Milan. He also works for i-Help, a
critical care mass gathering provider.


The paper in the episode can be found here:


An unusual case of Marathon-related exercise-associated
collapse: Case report and some considerations for medical care at
endurance mass participation
eventshttps://pubmed.ncbi.nlm.nih.gov/37919145/#:~:text=This%20article%20presents%20a%20unique,immediately%20with%20CPR%20and%20AED.





This paper is also mentioned in the episode:


Sudden cardiac arrest in a marathon runner. A case
report


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484937/